Individual provider · Type 1 NPI
Connie Jackson
Professional Counselor · Kingsland, TX
NPI number
1265973812
Active
Practice location
1410 Ranch Road 2900 Ste 303
Kingsland, TX 78639-5853
Mailing address
1203 Ford St
Llano, TX 78643-2611
Other practice locations
- 809 12th St Ste C3-B, Marble Falls, TX 78654-5180 · (830) 499-3744
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 74377 (TX) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 13344 (TX) |
Professional Counselor: Definition to come...
Other professional counselor providers in Kingsland
About NPI 1265973812
Connie Jackson's National Provider Identifier is 1265973812, issued on Mar 15, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Kingsland, TX. The record was last updated on Oct 2, 2019.